||Seven days after sustaining partial- and full-thickness burns in a house fire, a 7-year-old boy has brain asphyxia, acute respiratory distress syndrome, multiorgan system failure, and sepsis. He is being mechanically ventilated. After consultation with his parents, a do-not-resuscitate order is written, and the boy is removed from the ventilator. Twenty minutes later, his blood pressure is 86/42 mm Hg, pulse is 130/min, and respirations are 8/min. He periodically moans in pain. His current pain medication is intravenous morphine (20 mg/h). Which of the following is the most appropriate next step in pain management?
) Decrease the morphine until the patient's respirations are greater than 12/min
) Increase the morphine
) Administer midazolam
) Administer naloxone
) Administer pancuronium